Doctor Name: | MR. TED A. MIZE |
NPI Number: | 1972697159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 6212 |
Business Practice Address: | 500 Us Highway 89 North Prescott, AZ - 86313 |
Business Phone Number: | 9287177493 |
Business Fax Number: | |
Mailing Address: | Po Box 9036, PRESCOTT |
State: | AZ |
Postal Code: | 863139036 |
Phone Number: | 9287177493 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |